The Effect of Fear of COVID-19 Infection and Anxiety on Loneliness: Moderated Mediation Effects of Gratitude

The distribution of frequent perceived loneliness and its association with suicidal behaviors in adolescents: a school-based study across 93 countries/territories

Adolescent loneliness is prevalent and poses a significant risk for youth mental health. This study aimed to estimate the global prevalence and distribution of frequent perceived loneliness in adolescents and its associations with suicidal ideation, planning, and attempts. We analyzed data from the Global School-based Student Health Survey (GSHS) across 93 countries/territories (2003-2021) for adolescents aged 11-18. Weighted prevalence of frequent perceived loneliness was estimated for each country/territory, with pooled prevalence calculated by sex, age, WHO regions, and economic groups. Binary logistic regressions were employed to assess the associations between loneliness perception and suicidal behaviors in each country/territory, with overall estimates derived by random-effects meta-analysis. Among 388,093 adolescents included, 13.2% (95% CI 12.2-14.3%) reported frequent perceived loneliness, with the lowest observed in Europe (North Macedonia and Tajikistan) at 4.6% (95% CI 1.1-8.1%) and the highest in the Eastern Mediterranean at 16.1% (95% CI 14.7-17.6%). Girls and older adolescents had higher prevalence of frequent perceived loneliness. Frequent perceived loneliness was significantly associated with increased odds of suicidal ideation (overall OR: 2.41, 95% CI 2.25-2.58), planning (overall OR: 2.06, 95% CI 1.92-2.21), and attempts (overall OR: 2.08, 95% CI 1.95-2.20). These associations were consistent across most countries/territories, sexes, age, regions, and economic groups. These findings highlight frequent perceived loneliness in adolescents as a global public health concern strongly linked to suicidal behaviors, underscoring the urgent need for targeted interventions to address loneliness and its mental health consequences.

Adult separation anxiety and feelings of guilt as predictors of prolonged grief disorder

INTRODUCTION

This study aimed to evaluate the sociodemographic factors, loss-related factors, and adult separation anxiety associated with a diagnosis of Prolonged Grief Disorder (PGD), after controlling for anxiety, depression, and perceived social support during the COVID-19 pandemic in Türkiye.

METHODS

Participants (n=126) completed an online survey that included socio-demographic and loss-related information, as well as the Hospital Anxiety and Depression Scale, Prolonged Grief Disorder Scale-13, Multidimensional Scale of Perceived Social Support, and Adult Separation Anxiety Questionnaire-27.

RESULTS

Twelve participants were diagnosed with probable PGD (9.5%). In the linear regression analysis, it was found that when the deceased person was a first-degree relative and younger in age, the presence of guilt, increased separation anxiety, and higher depression scores significantly associated with the severity of PGD.

CONCLUSION

Even when the pandemic is under control, it remains crucial to offer mental health services those who have lost a loved one during the COVID-19 outbreak.

The Role of Knowledge and Personal Experience in Shaping Stigma Associated With COVID-19 and Mental Illness

OBJECTIVE

Stigma influences perceptions of mental illness and novel diseases like coronavirus disease-2019 (COVID-19), often impeding healthcare access despite advancements in medical treatment. This study compares the stigma associated with COVID-19 and mental illness to identify factors that could help reduce stigma.

METHODS

An online survey was conducted in May 2023 among 1,500 participants aged 19 to 65 in South Korea, using a panel from Embrain, an online survey service. The survey assessed stigma and distress related to COVID-19 and mental illness using a validated questionnaire. It collected demographic and clinical data, evaluated COVID-19-related stigma, fear, and knowledge, and measured prejudice and attitudes toward psychiatric treatment. Personality traits were assessed using the Big Five Inventory (BFI)-10. Factors significantly associated with stigma scores were entered into linear regression analysis.

RESULTS

COVID-19-related stigma scores were significantly negatively correlated with knowledge of COVID-19 and positively correlated with fear of infection and age. Individuals with a history of COVID-19 infection had significantly lower scores on COVID-19-related stigma. Similarly, mental illness stigma was negatively correlated with knowledge of psychiatric treatment and positively correlated with age, as well as conscientiousness and neuroticism in the BFI. Personal experience with individuals with mental illness was associated with significantly lower stigma scores.

CONCLUSION

This study suggests that the mechanism-making stigma was similar in cases of traditional mental illness and a novel infectious disease. Both cognitive and experiential factors influence stigma. Educating the public about the disease and enabling interactions with affected individuals emerge as effective strategies for stigma reduction.

How Can the Coping Strategies Mediate the Relationship Among COVID-19 Stress, Depression, and Anxiety?

OBJECTIVE

The coronavirus disease-2019 (COVID-19) pandemic has had a severe impact on mental health. To explore the underlying mechanisms that influence mental health, a critical question is whether different types of coping strategies may mediate the relationships between COVID-19 related stress and mental health.

METHODS

Recruited between October 19 and 24, 2021, a total of 500 participants aged 20 to 69 years completed an online survey to evaluate the COVID-19 stress, coping orientation, depression and state anxiety. The period corresponded to the highest level of COVID-19 restrictions (level 4) immediately before the adjusted restriction to level 3. Parallel mediation analyses were conducted using structural equation modeling.

RESULTS

Distinct mediation effects of the COVID-19 stress (i.e., fear of infection, difficulties of social distancing, anger toward others) through three types of coping strategies (i.e., functional, dysfunctional, seeking support) were found. Fear of infection was likely to be related to functional coping and dysfunctional coping. Social distancing model indicated dysfunctional coping and seeking support, while anger toward others model was associated with functional coping and seeking support.

CONCLUSION

The results highlight the different relationships between COVID-19 stress and mental health coping strategies. The identification of these mediation pathways offers guidance for designing effective interventions and support systems to promote psychological well-being during challenging times like the COVID-19 pandemic.

Effects of Profession-Related Support from Different Sources on Subjective Well-Being Among Chinese Tuition-Free Normal University Students: The Mediation of Intrinsic Motivation for Teaching and Moderation of Dispositional Gratitude

Background

Tuition-free normal university students (TFNUS) have become an important group in Chinese normal university. The subjective well-being of TFNUS not only affects their own mental health, and decisions to stay in the teaching profession, but also can significantly influence their future student's perception of stress, learning motivation and academic achievement. However, little attention has been paid to the relationship between positive factors and TFNUS's subjective well-being and the underlying mechanism and boundary condition. The purpose of this study is to examine whether, how and when profession-related support from different sources influences TFNUS's subjective well-being.

Methods

Based on the Conservation of Resource Theory and Self-Determination Theory, a time-lagged design was used to collect two wave data (N=526), and we use dominance analysis to examine the relative importance of profession-related support from significant others (eg, government, teachers, and parents) in relation to subjective well-being among Chinese tuition-free normal university students, and propose a moderated mediation model to reveal the mediating (intrinsic motivation for teaching) and moderating (dispositional gratitude) effects of this relation.

Results

Profession-related government, teacher, and parent support were all positively related to subjective well-being, in a descending order of relative importance were as follows: teacher, parent and government. Furthermore, intrinsic motivation for teaching mediated the relationship between profession-related support and subjective well-being. In addition, dispositional gratitude only moderated the relationship between two sources (teacher and parent, respectively) of profession-related support and intrinsic motivation for teaching. Moreover, dispositional gratitude moderated the strength of the indirect effect of profession-related teacher support and parent support on subjective well-being (through intrinsic motivation for teaching), and the mediated relationship was stronger for those with high (vs low) dispositional gratitude.

Conclusion

The profession-related support had positive direct effect on tuition-free normal university students' subjective well-being, as well as indirect effect through intrinsic motivation for teaching. Dispositional gratitude moderated the relationship between of profession-related teacher, parent support and intrinsic motivation for teaching, and the strength of the indirect effect of this support on subjective well-being.